Health and Fitness Journal

Two coffees and a delicious muffin later, I had my Seattle buzz up and working. I thought of doing something new today but had no idea how to get out of the normal everyday routine. What to do?

After thinking for a minute, I decided to try my luck at some online dating sites to see if I could find a date for friday. I only needed to go to one to figure out it was kind of scary. Even with a coffee buzz I felt reluctant. I found a free dating site called Meet You Later and it was very detailed and well updated. I made a profile and asked 5 ladies to join me for dinner sometime.

I left the house for the day and when I came back, my inbox was full of ladies! Well, actually there were more dudes than ladies who wanted a date with me. i didn’t know I that kind of appeal. Well, all the ladies turned me down, so I will have to think of something new to get some attention.

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You know the commercials they have on tv for various prescription medications? At the end of each commercial the drug companies have to tell us about all the potential side effects of the medication, and on some of these types of commercials they close with the line “If you have an erection lasting longer than 4 hours, see your doctor.” It usually causes a few snickers, and you’ve probably heard people joking about it. In fact, you may have laughed yourself. But the truth of the matter is, priaprism, or an erection lasting longer than 4 hours, is a serious problem and hardly something to laugh about.

Priaprism is a persistent, and often painful erection that lasts for more than four hours and without sexual stimulation. Priaprism develops when blood in the penis becomes trapped an unable to drain, and if the condition is not treated immediately, it can lead to scarring and permanent erectile dysfunction. You don’t need to take Viagra to get priaprism - it can happen at nearly any age, and without sexual stimulation. Priaprism occurs, however, most commonly in men ages 5 to 10 and 20 to 50 years old.

There are two kinds of priaprism, high-flow and low-flow. In low-flow priaprism, the condition results from blood being trapped in the erection chambers. Low-flow priaprism often occurs in men without a known cause who are otherwise healthy, but can also affect men with leukemia, malaria, or sickle-cell disease. High-flow priaprism is much more rare than low-flow priaprism, and is generally less painful. High-flow priaprism is the result of a ruptured artery from an injury to the penis or perineum, which thus prevents blood in the penis from circulating normally.

A common cause of priaprism is the use and misuse of certain medications. Drugs such as Desyrel and Thorazine are known to occassionally cause priaprism, and for those with erectile dysfunction, injection therapy medications used to treat the condition can also cause priaprism. Other causes of priaprism include trauma to the spinal cord or genital area, carbon monoxide poisoning, illicit drug use (such as marijuana and cocaine), and black widow spider bites. Rarely, priaprism may be related to cancers that affect the penis and prevent the outflow of blood.

If you suspect you have priaprism, do not attempt to treat it yourself. Seek immediate medical attention. If you receive treatment within four to six hours, the erection can almost always be reduced with medication. If the erection has lasted less than four hours, decongestant medications may be helpful. Other treatment options include ice packs, surgical ligation, surgical shunt, aspiration, and intravenous injection.

As long as you receive prompt medical attention and treatment, the outlook will be very good and you can most often expect to fully regain functional erections. But the longer that you delay seeking medical attention, the greater the risk of permanent erectile dysfunction.

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